The Role of Intramedullary Nailing in Metacarpal Fractures Dr. Brwa Dalshad Kakasor¹*, Dr. Abdulkadr Muhammed Sleman Alany² 1. MBChB, Candidate in KBMS / Orthopedic Surgery Program; Erbil Teaching Hospital in Erbil cityKurdistan region/Iraq 2. MBChB, F.I.B.M.S Orthopedic Surgery, Assistant Professor, Consultant Orthopedic Surgeon; Hawler Medical University-Erbil-Kurdistan region/Iraq Summary Background: The metacarpal bone fractures are the second common fracture of hand. Management of metacarpal fractures is mainly conservative. However, intramedullary nailing is required for better reconstruction of fractured bones and in fastening of healing. Objective: To evaluate the functional and radiological outcomes of intramedullary nailing in metacarpal fractures in adults. Methodology: This study was a clinical prospective follow up study implemented in public and private hospitals in Erbil city Kurdistan region/Iraq during the period of two years from 1st of November 2019, to 31st of October 2021 on convenient sample of twenty two adult patients with metacarpal fractures. The metacarpal fracture cases were diagnosed by the orthopedic surgeon through examination and plain radiographs. The anatomical and functional outcomes were assessed by researchers through following up the patients. Results: Mean nail removal duration of metacarpal bone fractures after intramedullary nailing was (3.7 months), while mean Disabilities of the Arm, Shoulder, and Hand (DASH) score of metacarpal bone fractures after intramedullary nailing was (1.8) and mean range of motion (ROM) score at 6th week of metacarpal bone fractures after intramedullary nailing was (88.9). The mean union duration of metacarpal bone fractures after intramedullary nailing was (5.6 weeks); 63.6% of patients had union duration of 6 weeks and more. The postoperative complications of metacarpal bone fractures after intramedullary nailing was present in 7 (31.8%) patients; commonly skin irritation at entry site (57.1%). The metacarpal neck fractures are related commonly with shorter duration between injury and surgical operation, 5th metacarpal bone, transverse pattern and longer duration of nail removal. Conclusions: The functional and radiological outcomes of intramedullary nailing of metacarpal fractures among adults in Erbil city are acceptable. Keywords: Metacarpal fractures, Intramedullary nailing, Outcomes DOI: 10.5281/zenodo.7112338

How to cite this article: Kakasor B.D , Sleman Alany A.M.. The Role of Intramedullary Nailing in Metacarpal Fractures. JMSP 2022;8(2): 207-21